Marianne Bailey Branham, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW005043 Issued in MO

Practice address

2716 Forum Blvd.
Suite 4B
Columbia, MO 65203-5450

Phone

(573) 817-9611

NPI assigned

Nov 1, 2006

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marianne B. Branham, LCSW, LLC

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1295254704
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1124105622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SECOND STREET",
            "city": "ROCHEPORT",
            "state": "MO",
            "postal_code": "652799011",
            "telephone_number": "573-673-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 FORUM BLVD.",
            "address_2": "SUITE 4B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035450",
            "telephone_number": "573-817-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "MARIANNE",
        "middle_name": "BAILEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "SW005043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497961037",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Brandon, FNP
• Michael Stephen Brandon Jr., D.D.S.
• Caitlin Noel Brandt, MD
• Kimberly Rachel Brandt, D.O.
• Lori A Brandt, A.N.P.
• Thomas R Brant, DPM
• Haley Brantley, AUD
• Samuel Branum, PHARMD
• Rachael Nichole Brashears, D.O., MBA
• Natalie Brauch

• Mental Health Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.